Shante Ward
Lake Wylie,SC
Summary
Professional with strong background in eligibility assessment and client service. Skilled in analyzing applications, verifying information, and ensuring compliance with regulations. Known for effective teamwork, adaptability, and achieving results. Proficient in managing caseloads, problem-solving, and maintaining confidentiality with focus on accuracy and efficiency.
Overview
11
11
years of professional experience
1
1
Certification
Work History
ELIGIBILITY SPECIALIST
MECKLENBURG DEPARTMENT OF SOCIAL SERVICES
08.2022 - Current
- Conduct up to 12 thorough Interviews daily, to gather accurate information and assess individual needs for service in compliance with federal and state regulations.
- Documents all notes and steps clearly and completely for review and hand-off to other case workers/social workers.
- Provided crisis intervention strategies to assist clients in navigating challenging situations effectively.
- Demonstrates proficiency in utilizing all processes, policies, procedures, and system updates to ensure that all eligibility determinations, reviews, and changes are completed accurately.
INTAKE SPECIALIST/ELIGIBILITY SPECIALIST
ATRIUM HEALTH
06.2020 - 08.2022
- Assisted with scheduling 15-20 appointments per day, obtaining authorizations(prior/pre) verifying insurance coverage, and entering data into electronic medical records systems. Access to Epic and NCTracks.
- Communicated clearly with physicians, nurses, billing department personnel, and other members of the healthcare team regarding patient demographics, insurance coverage.
- Performed detailed assessment of client needs, resources and barriers to determine best course of action.
- Facilitated patient intake processes, ensuring accurate data collection and documentation.
Benefits Verification Specialist
AmerisourceBergen
09.2018 - 06.2020
- Obtained Prior Authorizations & Referrals for procedures and medications for up to 8 people daily.
- Confirmed patient insurance coverage for medications and treatments, involving outbound calls to payers, clients and pharmacies.
- Collaborated with healthcare providers to gather necessary documentation for claims processing and ensured accurate billing and benefit coverage information was provided.
WIRELESS SUPPORT ADVISOR
ACN Telecommunications
04.2015 - 01.2018
- Diagnosed and resolved connectivity, performance, and coverage issues for users and maintained accurate records.
- Processed payments and assisted clients with maneuvering through the portal to setup future payments and self-troubleshooting.
- Provided technical support to users, resolving issues promptly and effectively.
Education
CERTIFICATION - CASE MANAGEMENT
CENTRAL PIEDMONT COMMUNITY COLLEGE
Charlotte, NC01-2022
Associate of Applied Science - HUMAN SERVICES
CENTRAL PIEDMONT COMMUNITY COLLEGE
Charlotte, NC01-2016
Skills
- Detail-oriented data management
- Detail-oriented data management
- Detail-oriented data management
- Detail-oriented data management
- Detail-oriented data management
- Detail-oriented data management
Certification
- Human Service Certificate NC FAST (PHASE I & II) - 2022
Timeline
ELIGIBILITY SPECIALIST
MECKLENBURG DEPARTMENT OF SOCIAL SERVICES
08.2022 - Current
INTAKE SPECIALIST/ELIGIBILITY SPECIALIST
ATRIUM HEALTH
06.2020 - 08.2022
Benefits Verification Specialist
AmerisourceBergen
09.2018 - 06.2020
WIRELESS SUPPORT ADVISOR
ACN Telecommunications
04.2015 - 01.2018
CERTIFICATION - CASE MANAGEMENT
CENTRAL PIEDMONT COMMUNITY COLLEGE
Associate of Applied Science - HUMAN SERVICES
CENTRAL PIEDMONT COMMUNITY COLLEGE